Ponseti法联合Ilizarov术治疗先天性马蹄内翻足畸形患儿的疗效

Treatment of Congenital Talipes Equinovarus Deformity with Ponseti Method and Ilizarov Operation

【目的】探讨Ponseti法联合Ilizarov技术治疗先天性马蹄内翻足畸形患儿的临床疗效。【方法】两院就诊的100例先天性马蹄内翻足畸形患儿,随机分为两组,每组50例,对照组应用Ilizarov技术逐渐牵引治疗先天性马蹄内翻足畸形,观察组应用Ponseti法联合Ilizarov技术治疗。随访12个月,比较两组患儿临床疗效、国际马蹄足畸形研究学评分系统(ICFSG)评分变化及并发症发生情况。【结果】治疗后,观察组总有效率为96.00%,显著高于对照组的78.00%(P<0.05);观察组治疗后ICFSG评分低于对照组(P<0.05);观察组术后并发症的总发生率为6.00%,显著低于对照组的24.00%(P<0.05)。【结论】Ponseti法和Ilizarov技术联合治疗先天性马蹄内翻足畸形的疗效佳,能有效改善ICFSG评分,降低术后并发症的发生率,具有一定的临床推广价值。

【Objective】To investigate the clinical effect of Ponseti method combined with Ilizarov technique in the treatment of congenital talipes equinovarus deformity in children.【Methods】A total of 100 children with congenital talipes equinovarus were randomly divided into two groups(50 cases in each group).The control group was treated with Ilizarov technique gradually by traction,and the observation group was treated with Ponseti method and Ilizarov technique.The follow-up period was 12 months.The clinical efficacy,ICFSG score and complications of the two groups were compared.【Results】After treatment,the total effective rate in the observation group was 96.00%,significantly higher than that in the control group(78.00%,P<0.05);The ICFSG score in the observation group was lower than that in the control group after treatment(P<0.05);The total incidence of postoperative complications in the observation group was 6.00%,significantly lower than that in the control group(24.00%,P<0.05).【Conclusion】The combination of Ponseti method and Ilizarov technique is effective in the treatment of congenital talipes equinovarus deformity,which can effectively improve the ICFSG score and reduce the incidence of postoperative complications,and has certain clinical.